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Abdominoplasty (Skin Excission) in Bellevue, WA


For many years, the Abdominoplasty (Tummy Tuck) consisted of making a hip to hip scar to remove excessive skin and fat, tighten the abdominal muscles which have separated or stretched, usually from pregnancy and removing the excess skin just above the pubic area level. This is a classic Abdominoplasty or tummy tuck. The modern abdominoplasty done by Dr. Marosan has little resemblance to the above description. The Abdominoplasty (Skin excision and muscle tightening)  is part of the 360 degrees body sculpting procedure, it is rarely done as a stand alone operation by Dr. Marosan. It is commonly performed on women with significant skin folds after multiple pregnancies, C-section scar, excess fat on the hips, waist, bra rolls, fat rolls under the breasts, etc. Best candidates are women with a BMI of 30 or less. Women who are obese and have significant intra-abdominal or visceral fat are not good candidates for an abdominoplasty. With advanced technology, Seattle area body sculpting plastic surgeon, Dr. Marosan, performs a short, low scar abdominoplasty, along with 4D Abdominoplasty (sculpted, athletic abdomen) for superior results. Dr. Marosan, in fact, is only one of a handful of surgeons around the world who have been trained in this highly technical procedure. Not only is the appearance of scarring minimized, but a better outcome is possible with contouring the whole torso to create an hourglass figure. Dr. Marosan creates three dimensional changes as opposed to the two dimensional surgery in a standard abdominoplasty. An abdominoplasty is part of the 3D body sculpting procedure in Dr. Marosan's philosophy, not the main procedure as in most surgeons' philosophy.

In addition to removing the unwanted skin and fat, the 4D Abdominoplasty further sculpts the abdomen, while maintaining the integrity of blood vessels and nerves for safer, more reliable results. After the surgery, the abdomen is contoured with better muscle definition vs an amorphous flat abdomen, and trimmer for a look that will surely boost any patient’s confidence. His umbilical reconstruction is practically scarless and natural looking. A poorly designed belly button, detracts even from an above average tummy tuck.


Surgeon and Facility Fees

from $10,500.00

Recovery Time

3-4 Weeks

Average Procedure Time

6-8 Hours

Procedure Recovery Location


During/After Surgery

A Abdominoplasty (Skin Excission) is done under intravenous sedation and tumescent anesthesia. It is an outpatient procedure done in our certified office operating suite. Intra operatively, Dr. Marosan uses Exparel, a long lasting local anesthetic, injected into the abdominal muscles for pain control. This avoids you carrying a pain pump. As with any other surgery, abdominoplasty comes with risks so it’s best to discuss any health conditions you have prior to surgery. After surgery, pain medications are provided and a compression garment is worn. The patient will need to rest the day of surgery. From then on, it is recommended that patients make a concerted effort to move around and walk every two hours during the day to help blood circulation and reduce the risks of blood clot complications. Initial recovery takes 7-10 days, but full recovery may take up to 6 weeks or longer.

So Happy with my Tummy Tuck Results! - I am beyond happy with my tummy tuck results! I’m so grateful to Dr. Marosan for his skill and care throughout my surgery journey. During our consultation meeting he had a vision of not just what my tummy should look like, but what my whole torso should look like. He made straight forward recommendations and was very direct and honest in his approach when planning my surgery. The c...

M. RealSelf

I have had liposuction, bbl, labiaplasty, tummy tuck, and anxiously awaiting to do more. Dr. Marosan is a genius and an expertise when it comes to body sculpting. My mom is having a blue peel next week and my sister will be having fat transfer to her face in the next month. I have had another plastic surgeon in Bellevue do a neck and face lift with deposit already placed before I found Dr. Marosan. My biggest regret was not to have found him before I made that appointment. In fact it I'd known how bad my facial scars would have turned out, I'd gladly lose my deposit. Because now my only opinion is if one day I choose to have Dr. Marosan fix the other doctors poorly placed scars. I also love the staff at this office. It feels comfortable without the hype and pressure felt at those high profiled places with all the staff employees. See you next week Dr. Marosan, Danni, Lauri, and Sara B. Gordon

L.A. Yelp

Tummy Tuck, Brazilian Butt Lift and Lipo by Dr. Marosan - It’s been over 4 months since my triple-surgery. I’ve been enjoying tight little dresses, leggings, bikinis and short skirts like a teenager! Dr Marosan did a great job and I recommend him and his team to those who are considering cosmetic surgery. I would send my family to him. It took me 9 years of hesitation and mistrust interviewing various physicians before I finally met Dr. Marosan and moved forward with the surgery! The primary reason I chose Dr. Marosan over other physicians was that he places his tummy tuck incisions low. No other doctor gave me that option. My scar is WAY below the bikini line and is touching my pubic zone. Other moms that I know who had it done have their scars higher than mine. Also, Tummy Tuck is a major surgery. You want to make sure you are in good hands. Dr. Marosan and his team did an excellent job taking care of me. I received courtesy from the day one and support and compassion throughout the recovery -- emails, courtesy phone calls, multitude post-op visits. Dani, Lauri, Sarah and Dr. George were super nice. I’m very pleased with the overall service that I’ve received!

T. RealSelf

Dr. Marosan Did a Great Job! [Tummy Tuck/Liposuction/Muscle Repair] - After researching dozens of plastic surgeons in the greater Seattle area for tummy tuck/liposuction, I went with Dr. Marosan because I could tell he was very experienced and does a lot of abdominoplasty and he was the one surgeon who places his incisions super low, right above the pubic area, and his incisions stay there (low) instead of eventually pulling up during recovery. For some reason (probably because it's easier), many other surgeons results showed incisions that were placed much higher than they needed to be. Just check out his before and after pictures and compare them with other surgeons: his after pictures show the whole incision area so you get a very good idea of where your incision will end up. [So many other surgeons after pictures are of women in underwear, so you have no idea where the incision was placed, or if you do get to see the whole area, you'll see how high the cut was]. I am now 10 weeks post surgery and am very happy with my results- he did a great job with the incision, the liposuction of my entire torso, and also the muscle plication (sewing them back together since I've had three pregnancies that separated my ab muscles). He also does a lot of follow up visits and takes pictures of your progress and gives you access to them, so you can really see your transformation.I'm so happy I went with Dr. Marosan- he (and his entire staff!) is wonderful and I highly recommend him/his practice!

P. RealSelf

360 Lipo with BBL and Hip Fat Transfer - 42 years old, 5'8, 150lbs, 2 kids. I had a Tummy tuck about 4 years ago, and had some lipo done at the same time. I am fairly fit, and didn't have too much body fat. However, as I have gotten older, I have noticed more back fat, my "curves" have been slowly going away (I used to have an hourglass figure in my youth), and I had love handles I wanted to get rid of. I also had this "shelf" like thing from my Tummy Tuck scar that really annoyed me. I also had the "violin" deformity, or the hip dips that I wanted to fix. So I was really excited to get a BBL/hip aug and the 360 sculpting. I am also planning on getting a labiaplasty and Renuvion with lipo to my legs 2 weeks after my first procedure. I'll do a separate review for the labiaplasty. I went with Dr. Marosan, as I had a friend that went to him that was thrilled with her results. I have to say that I am SO happy that I went with him!! Dr. Marosan is so skilled at what he does. I wish I had done my tummy tuck with him 4 years ago. He is also really down to earth and funny, and I immediately felt comfortable with him. And his assistant, Sarah, and the admin, Marci, are great. I am currently 6 days post-op, so I will post some before pics and a little more info in my next review!

M. RealSelf


Total Reviews


Average Rating

Surgical Technique


In patients who undergo a full abdominoplasty (tummy tuck), the incision varies in length, but is always placed in a low location, thus the resultant scar line can be hidden when wearing undergarments or a bikini. The abdominoplasty or tummy tuck is part of the 360 degrees body sculpting procedure, it is rarely done as a stand alone operation by Dr.Marosan. Women who are obese and have a protuberant abdomen are not good candidates for an abdominoplasty. Liposuction is performed to remove excess fat preceding the skin tightening portion of the procedure. The rectus abdominis muscles and sometimes the oblique muscles are sutured in two layers for a firm, toned appearance. Fat grafting to the rectus muscle can be done to create an athletic six pack. Dr. Marosan uses progressive tension sutures to create an athletic abdomen and decrease the risk for seroma. He might or might not use a drain, which depends on how much liposuction is done at the same time. Dr. Marosan believes that it is not enough to make the abdomen flat without muscle definition and liposuction contouring the rest of the back, waist, hips, lower back fat pad, lateral chest wall to complement and enhance the results. This gives an hourglass, athletic and youthful body all the way around. Dr. Marosan, truly will turn back the clock to a more youthful, athletic and feminine figure.

An abdominoplasty with liposuction offers plenty of cosmetic rewards. It also delivers certain medical benefits as documented in recent studies. These are: 1. Correction of ventral and/or umbilical hernia, 2. Reduce stress urinary incontinence, 3. Decrease back pain and 4. Improved core and posture.


A traditional mini abdominoplasty tightens the muscle from the belly button down to the pubic bone. The muscle or skin are not addressed above the belly button. In my practice, less than 5% of patients are good candidates for this procedure. Patients wrongly believe that a mini will give them a mini scar. This is not true in most cases, since most surgeons apply the same technique as for a full abdominoplasty skin excision. An alternative to the traditional technique is the modified mini abdominoplasty, which is also known as a “Brazilian Abdominoplasty.” The difference is that ideally the patients that undergo this procedure are already in relatively good shape with a healthy skin tone, but still have loose skin on the lower abdomen. Unlike the full abdominoplasty, the belly button is unaffected and the incision is smaller. VASER Hi Def Liposuction is used to remove excess fat and sculpt the abdomen, and the loose skin is removed low at the pubic bone level. With special instrumentation, Dr. Marosan tightens the abdominal muscles from the breast bone down to the pubic bone, just like in a full abdominoplasty. Liposuction of the waist, hips and back are done routinely to give an hourglass figure. Often, a Brazilian Buttock Lift is done to complete a total transformation.


In cases when major skin tightening and body contouring is needed, an extended abdominoplasty (Skin Excision) is recommended. This is a necessary technique for patients who have undergone a significant weight loss. It was developed after some patients noted that even after a full abdominoplasty, the parts surrounding the abdomen still showed excessive folds of skin. The incision may extend around the flank and sides depending where skin tightening is necessary. At times, an abdominoplasty is combined with a lower body lift to reshape and tone the body. Liposuction is still used and excess skin is trimmed then tightened. Similar to a full abdominoplasty, the belly button is repositioned or completely removed. Dr. Marosan creates a new belly button 2-4 weeks later with no signs of sutures.

Additional Services and Pricing

Additional Services


Continuous Non-interrupted Muscle Plication Add-on


Total Abdominoplasty Package

(Abdominoplasty, Continuous Non-interrupted Muscle Plication, Mons Pubis Lift, Total Hi-Def VASER Supine Liposuction)


Total Body 360 VASER Hi-Def Liposuction/Total Abdominoplasty Package plus Fat Transfer


360 Body Lift

(Standard Abdominoplasty, Posterior Body Lift, Outer Thigh Lift)


360 Total Body Lift

(Abdominoplasty, Continuous Muscle Plication, Mons pubis lift, Posterior body lift, Outer thigh lift, and VASER Lipo)


Lipo or Abdominoplasty?

Abdominoplasty (Skin Excission) s are reserved for patients who have stretched, loose skin in the lower abdomen as a result of pregnancy or obesity. Liposuction, on the other hand, is for those who want to remove excess fat in the abdomen but still have a healthy skin tone. During the initial consultation, Dr. Marosan will provide a thorough assessment and determine if liposuction alone is all that is needed, or if a Abdominoplasty (Skin Excission) alone or with liposuction will provide the best results. If a person has large amounts of fat over the abdomen, Dr. Marosan prefers to do liposuction first and do the Abdominoplasty (Skin Excission) later for the best results. This will make your incision shorter and the abdomen will have the best possible contour. Other surgeons might offer an abdominoplasty with liposuction of the flanks in an overweight patient. Although this can be done, it will not give you the results you were believed to expect. I know this, because I fix many of these patients from other offices.

Combining Procedures?

Normally, abdominoplasty is performed to improve loose skin and excess fat around the abdominal area. With modern body sculpting techniques, superior results can be obtained over a standard Abdominoplasty (Skin Excission). However, sometimes other cosmetic procedures, such as breast augmentation or a breast lift are done to further improve the overall look and feel of the body. When this combination type surgery exists, it is known as a “mommy makeover”. It is very popular among women after pregnancy who wish to get their pre-pregnancy body and shape back to normal.

How Bad Are The Scars?

Unfortunately, with a Abdominoplasty (Skin Excission) surgery, scars are unavoidable. However, extra measures are taken to make sure that scarring is minimal. The incision line is placed in areas that can be concealed by undergarments. Previous C-section scars will be removed, since Dr. Marosan prefers to place the Abdominoplasty (Skin Excission) incision lower, at the pubic bone level and one finger breadth above the groin crease. Dr. Marosan uses progressive tension sutures underneath which take the tension off the suture line itself and create a thin, flat scar. He also uses sutures to prevent the pubic hairline from migrating up into the lower abdomen. All the sutures used are disolvable with no potential suture problems in the long run. During the healing process, we will provide a post-operative protocol that includes scar with special tape support of the incision and treatment to help assist the scars in becoming less visible.

Pregnancy After Tummy Tuck?

It is our recommendation that women who decide to have more children delay a Abdominoplasty (Skin Excission) procedure. The stretching of the skin as a result of another pregnancy can reduce the positive outome of this procedure.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.